Roman Ray Reyes, FNP-C, PMHNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1019364 Issued in TX

Practice address

200 E Arizona Ave
Sweetwater, TX 79556-7120

Phone

(325) 235-1701

NPI assigned

Jan 15, 2021

Last updated

Mar 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rolling Plains Memorial HospitalGroup PAC ID 4688575228, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rolling Plains Memorial Hospital Hospital, Sweetwater, TX, CCN 450055

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/rolling-5861da2b

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rolling Plains Memorial Hospital

  • General Practice Physician
  • Sweetwater, TX
  • NPI 1154864858
  Medicare reassignment Care Compare group NPD
• Big Leap Medical Group of America P.a.

  • Psychiatry Physician
  • New York, NY
  • NPI 1720886807

  TX

  Medicare reassignment
• Rolling Plains Memorial Hospital

  • Emergency Medicine Physician
  • Sweetwater, TX
  • NPI 1992517171
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Rolling Plains Memorial Hospital

  • General Acute Care Hospital
  • Sweetwater, TX
  • NPI 1275581852
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1124617923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 STANLEY ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795561920",
            "telephone_number": "325-338-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E ARIZONA AVE",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567120",
            "telephone_number": "325-235-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ROMAN",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-15",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "2024004990",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1019364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Sweetwater, TX
• Providers in Sweetwater, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.